MIRANDA VILLANUEVA

FREEHOLD, NJ
NPI1306960026
Former NameMIRANDA YOUSSEF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: NJ  25MP00177400)
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
MIRANDA VILLANUEVA M.S., PA-C
901 W MAIN ST CENTRASTATE MEDICAL CENTER
FREEHOLD, NJ 07728-2537
Phone number: 732-294-2666
Mailing Address
MIRANDA VILLANUEVA M.S., PA-C
PO BOX 2680 CENTRAL JERSEY EMERGENCY MED ASSOC PC
NEW BRUNSWICK, NJ 08903-2680
Phone number: 800-666-2455